循证医学思维在《伤寒论》“方证对应”研究中的思考

Thought of Evidence-based Medicine in Correspondence Between Syndrome and Prescription of Shanghanlun

循证医学是20世纪90年代发展起来的一门临床医学基础学科。其核心是通过对医学文献的二次评价,为临床医生提供最新最好的诊断、治疗方法。“方证对应”是中医学辨证论治思想的具体体现,强调有是证用是方,几千年来一直有效地指导着医学实践。通过分析循证医学思维在“方证对应”研究中具体实施的可行性与难度,提出运用循证医学思维建立有中医特色的“方证对应”相关体系的设想。

Evidence - based medicine is one of the clinical basic medical academic subjects which appeared in the nineties of the 20th century. The key is through second evaluation for medical records in order to offer the latest and best diagnosis and treatment way for clinical doctors. ＂Corresponds between syndrome and prescription＂ is the specific reflection of TCM treatment based on the syndrome. The idea that ＂the syndrome corresponding to the prescription ＂ was emphasized and serves as effective guidance for medical practice for thousands of years. The author attempts to propose a tentative use the thoughts of evidence - based medicine with TCM characteristics through analysis of the credibility and problems of evidence - based medicine in the research on ＂correspondence between syndrome and prescription＂.